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By using Textcoach™, you are certifying that you are 18 year of age or older and are
expressly consenting to the collection, use, and disclosure of your personal information in accordance
with state and federal laws that govern confidentiality, as well as in accordance with HIPAA privacy laws.
In this disclaimer, the term "Client" is used to describe the individual that visits the Coaching portal or
using the Coaching app and voluntarily enters information and utilizes the services provided by the
Coaches. You are also acknowledging that the laws for the state in which you reside may limit or prevent
you from accessing these services directly. In such an event, your Coach will help you find alternative
resources to provide the appropriate level of care.
All Coaches are licensed mental health professionals who have a master's or doctorate degree in
psychology or a related counseling field. Each Coach is trained in providing therapy, has had training
specific to providing distance counseling, and has experience in the delivery of behavioral health
You also acknowledge that not all concerns are appropriate for Coaching. Stress, lifestyle change,
relationship issues, situational depression, worry and grief/loss issues are examples of some concerns
that may be appropriate for Coaching. Individuals with severe alcohol or substance abuse disorders,
eating disorders, severe depression or with other more severe or acute mental health conditions should
be assessed telephonically or in person. CuraLinc Healthcare maintains best practice standards, and
Coaches reserve the right to refer you to more appropriate levels of treatment at any time if Coaching
cannot clinically address your needs.
The information you provide is kept confidential in compliance with the most restrictive applicable local,
state or federal laws. CuraLinc Healthcare takes all necessary and reasonable precautions to ensure the
information you provide is accessible only to authorized CuraLinc Healthcare employees. All offline
material is kept in a secure database that only authorized CuraLinc Healthcare employees may access.
CuraLinc Healthcare will not release your information to any third party unless you have submitted
written authorization for such disclosure signed by you, and if necessary, notarized.
Confidentiality will not be upheld if any of the following circumstances occur:
- There is an imminent risk of death or injury to yourself such as in the case of suicide;
- There is an imminent risk of death or injury to a specific person such as in the case of homicide;
- There is concern about the safety and welfare of any children, disabled person, or elderly persons;
- Information may be disclosed under direct court ordered subpoena, and/or with legal counsel in
regards to the above.
In the event of an emergency, or the need of immediate services, you are strongly encouraged to
contact your local emergency services or call 911.
CuraLinc Healthcare takes every reasonable technical, physical and administrative precaution necessary
to ensure that services provided over the internet are done in a safe and secure manner. The latest
encryption software, such as SSL, is utilized to maintain this security and privacy. Passwords are also
employed to verify the identity of returning clients requesting services. CuraLinc Healthcare cannot
guarantee the security and privacy of the computer or device (smart phone, tablet, etc.) used by the
client and/or the environment in which they chose to participate in Coaching. CuraLinc Healthcare
encourages clients to use the latest antivirus and firewall software, and to use this service in a safe and
private location. You are also strongly encouraged to enable and use the passcode feature for an
additional layer of privacy on the mobile app.
You have the right to terminate Coaching at any time without fear of repercussions. Your information
will continue to remain confidential and will be stored in accordance with the most restrictive local,
state, or federal laws. In the event that other accommodations are required that extend beyond what
CuraLinc is able to reasonably provide, CuraLinc reserves the right to refer you to an appropriate mental
health provider in your area who is able to provide services at the same level.
If you have any questions about the security or privacy of Textcoach™, you may contact
the Privacy Contact at CuraLinc Healthcare, 314 W. Superior Street, Suite 601, Chicago, IL, 60654, 800-
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT
YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
We respect client confidentiality and will
only release information about you in accordance with applicable State and
Federal law. If state law is stricter, these more stringent provisions will
always take precedence. This notice describes our policies related to the use
of your coaching and/or mental health records. We are required by law to
maintain the privacy of protected health information and to provide you with
notice of our legal duties and privacy practices. In accordance with state and
federal law, we will make reasonable efforts to limit use, disclosure of and
requests for protected health information to the minimum necessary to
accomplish the intended purpose.
Effective Date: January 1, 2020
Privacy Contact: If you have any questions
about this policy or your rights, contact the Privacy Contact at CuraLinc Healthcare, 314 W. Superior Street, Suite 601,
Chicago, IL, 60654, 800-490-1585.
USE AND DISCLOSURE OF PROTECTED HEALTH
In order to provide you care, there are
times when we will need to share your information with others. This includes
the following times, under 45 C.F.R. 164.502:
Treatment: Information about you may be
disclosed for treatment purposes. For example, information may be disclosed to
a clinical supervisor, consulting Coach or therapist or member of a team
providing services to provide, coordinate, or manage your care.
Payment: Information may be used for
payment purposes. Information may be used to collect sums or receive third
party payment for certain mental health services, but disclosure will be
limited only to information needed to pursue collection.
Healthcare Operations: Information about
you may be used to coordinate healthcare operations. For example, the
information may be used in conducting a peer review of the services being
However, if state law is more restrictive,
your protected health information will be disclosed to a third person or for
billing purposes only to the minimum extent necessary and in accordance with
such state law.
INFORMATION DISCLOSED WITHOUT YOUR CONSENT
Pursuant to Federal Statute 45 C.F.R.
164.512, information about you can be disclosed without your consent in the
following circumstances (certain records, such as Coaching notes, are subject
to additional disclosure restrictions):
Emergencies: In case of an emergency, and
if you are not able to give or refuse permission, we will share only the
information that is directly necessary for obtaining emergency care for you,
according to our professional judgment.
Danger to Self and/or Others: Information
may be disclosed if you are a danger to yourself or others. CuraLinc
may disclose information to the appropriate authorities if we reasonably
believe such disclosure is necessary to protect you or a third party from a
clear imminent risk of serious physical or mental injury or disease or death.
class=SpellE>CuraLinc may report information in the event of a serious
threat of physical violence against a reasonably identifiable victim.
Use for Public Health Activities:
Information may be disclosed to a public health authority that is authorized by
law to collect or receive information for public health activities.
Abuse or Neglect: Information about you may
be disclosed if CuraLinc has a reasonable basis to
believe that abuse or neglect may have occurred, whether it be child abuse,
elder abuse, institutional abuse or domestic violence.
As Required by law: CuraLinc
must disclose information if required to do so by a court order, judicial or
administrative proceeding, or for other law enforcement purposes.
Health Oversight Activities: Information
about you may be disclosed to a health oversight agency that is authorized by
law to collect or receive certain information for the appropriate oversight of
the health care system, eligibility for government benefit programs, compliance
with government regulatory programs, or compliance with civil rights laws.
In the Event of Death: Information may be
disclosed to a coroner or medical examiner for the purposes of identification,
determination of the cause of death, or other duties as authorized by law.
Research: Information may be used or
disclosed for research purposes in such manner as authorized by law.
Specialized Government Functions:
Information may be disclosed for specialized functions related to, but not
limited to, military and veterans activities, national
security and intelligence activities, or medical suitability determinations.
Workers' Compensation: Information about
you may be disclosed to the extent necessary to comply with workers'
compensation laws or other similar programs that provide benefits for
work-related injuries or illness.
INFORMATION DISCLOSED WITH YOUR CONSENT
Other uses and disclosures of your
protected health information will be made only with your written authorization.
You may consent in writing to (via a CuraLinc
Authorization for Disclosure of Records and Communications Form) a release of
your records to yourself or others for any purpose you choose.
You may revoke any such authorization in
writing at any time unless we have already acted in reliance upon it.
We may contact you to provide information
about treatment alternatives or other health related benefits and services that
may be of interest to you.
INDIVIDUAL PRIVACY RIGHTS
Pursuant to Federal statute 45 C.F.R. 164,
you have the following rights under law:
Right to Inspect and Copy Your Record: With
limited exceptions, you are entitled to inspect the mental health records we
have generated about you. You are also entitled to a copy of these records.
Please make a request in writing to the Privacy Contact to inspect and/or copy
your records. We may charge you a reasonable fee for copying and mailing your
Right to Restriction of Record: You may ask
us not to use or disclose part of the record. This request must be in writing
to the Privacy Contact. CuraLinc is not required to
agree to your request if we believe it is in your best interest to permit
disclosure of the information.
Right to Confidential Communications: You
may request that we communicate with you about your information by different
means or at different locations. Your request must be made in writing to the
Privacy Contact. CuraLinc is required to accommodate
any reasonable request you make concerning such contact.
Right to Amend Record: You may request that
we amend your mental health records by adding or deleting certain information
that is incomplete or inaccurate. This request must be made in writing to the
Privacy Contact. We may deny your request if we did not create the information
you want changed, or for certain other reasons. If we deny your request, we
will provide you with a written explanation. You may then respond with a
statement of disagreement that will be added to your records. If we accept your
request to change the information, we will make reasonable efforts to tell
others, including people you name, of the amendment and to include the
amendment in any future sharing of that information.
Right to Copy of Privacy Notice: You have
the right to obtain a paper copy of this notice upon request, even if you have
agreed to receive this notice electronically.
Right to Accounting of Disclosures: You
have a right to receive a list of all the times during the six
year period prior to the date of your request that we or a business
associate shared your information for purposes other than treatment, payment,
and health care operations, and other specified exceptions. This request must
be made in writing to the Privacy Contact.
QUESTIONS AND COMPLAINTS
If you have any questions about this
notice, or if you think we have violated your privacy rights, please contact
the Privacy Contact at CuraLinc Healthcare, 314 W.
Superior Street, Suite 601, Chicago, IL, 60654, 800-490-1585. You may also
submit a written complaint to the U.S. Department of Health and Human Services,
200 Independence Avenue SW, Washington D.C., 20201, (877) 696-6775. We will not
retaliate in any way if you choose to file a complaint.
RESPONSIBILITY TO COMPLY WITH NOTICE
lang=EN-US>CuraLinc is required to comply with
the terms of the Privacy Notice currently in effect. However,
based on its needs and changes in State and Federal law. Any material change in
Because coaching is a helping relationship, it’s important that we plan for any unforeseen emergencies. To help your Coach assist you in an emergency, please provide your contact information and your emergency contact’s information below. This information is private and will be protected under all applicable privacy and confidentiality laws and not shared with anyone unless there is an imminent risk of safety to you or someone else. If you have any questions, please feel free to discuss them directly with your Coach.
Because coaching is a helping relationship, it’s important that we plan for any unforeseen emergencies. To help your Coach assist you in an emergency, please provide your contact information and your parent or guardian’s contact’s information below. This information is private and will be protected under all applicable privacy and confidentiality laws and not shared with anyone unless there is an imminent risk of safety to you or someone else. If you have any questions, please feel free to discuss them directly with your Coach.